HRM Eco-Navigator Directory Sign-up Form

Your Information

These details will be recorded internally so that we can get in touch with you regarding the directory if need be. These details will not be shared publicly in the Directory itself. Fields marked with an asterisk (*) are required.

First Name *

Last Name *

Job Title

Email *

Phone 1

Your Organization's Information

These details will be shared publicly in the directory. Fields marked with an asterisk (*) are required.

Organization Name *

Authorization *

I have authorization

I do not have authorization

Please confirm that you have obtained authorization from this organization to complete this data collection form accurately.

Publication Consent *

I consent

Please confirm that you consent to having this organization's information shared publicly on the HRM Eco-Navigator Directory.

Address Line 1

Address Line 2

City/Town *

Province *

Postal Code

Description *

Tell us about the work your organization does!

Public Email *

Public Phone

Primary Contact Name

Website *

Facebook

Instagram

TikTok

Bluesky

X

Recommended Ways to Engage

How would you like those accessing the directory to engage with you? You can refer to existing profiles in the directory for examples.

Core Stakeholders

You can refer to existing profiles in the directory for examples.

Organization Type *

Academic institution or affiliated group

Business or social enterprise

Community group

Government stakeholder

Indigenous community or Indigenous-led organization

Registered charity

Registered non-profit

Other

Organization Type - Other

If you selected 'Other' above, please provide details here.

General Focus Areas *

General Focus Areas - Other

If you selected 'Other' above, please provide details here.

Geographical Engagement *

All HRM districts

Select HRM districts

No engagement in HRM

Nova Scotia

Atlantic Canada

National

International

Other

Geographical Engagement - Other

If you selected 'Other' above, please provide details here.